Polymorphous forms of rifaximin, processes for their production and use thereof in the medicinal preparations

ABSTRACT

Crystalline polymorphous forms of the rifaximin (INN) antibiotic named rifaximin δ and rifaximin ε useful in the production of medicinal preparations containing rifaximin for oral and topical use and obtained by means of a crystallization process carried out by hot-dissolving the raw rifaximin in ethyl alcohol and by causing the crystallization of the product by addition of water at a determinate temperature and for a determinate period of time, followed by a drying carried out under controlled conditions until reaching a settled water content in the end product, are the object of the invention.

RELATED APPLICATIONS

The present application is a continuation under 35 U.S.C § 120 of U.S.patent application Ser. No. 13/488,345, filed Jun. 4, 2012, which is acontinuation of U.S. patent application Ser. No. 11/658,702, filed Oct.8, 2007, now U.S. Pat. No. 8,193,196. issued on Jun. 5, 2012, which inturn is filed under 35 U.S.C. § 371 as the U.S. national application ofInternational Patent Application No. PCT/EP2006/001755, filed Feb. 27,2006, which in turn claims priority to the European Patent ApplicationNo. EP 05004695.2, filed Mar. 3, 2005, the entire disclosure of all ofwhich is hereby incorporated by reference herein, including thedrawings.

BACKGROUND OF THE INVENTION

The rifaximin (INN; see The Merck Index, XIII Ed., 8304) is anantibiotic pertaining to the rifamycin class, exactly it is apyrido-imidazo rifamycin described and claimed in the Italian Patent IT1154655, while the European Patent EP 0161534 describes and claims aprocess for its production starting from the rifamycin O (The MerckIndex, XIII Ed., 8301).

Both these patents describe the purification of the rifaximin in ageneric way saying that the crystallization can be carried out insuitable solvents or solvent systems and summarily showing in someexamples that the product coming from the reaction can be crystallizedfrom the 7:3 mixture of ethyl alcohol/water and can be dried both underatmospheric pressure and under vacuum without saying in any way neitherthe experimental conditions of crystallization and drying, nor anydistinctive crystallographic characteristic of the obtained product.

The presence of different polymorphs had not been just noticed andtherefore the experimental conditions described in both patents had beendeveloped with the goal to get a homogeneous product having a suitablepurity from the chemical point of view, apart from the crystallographicaspects of the product itself.

It has now be found, unexpectedly, that some polymorphous forms existwhose formation, in addition to the solvent, depends on the conditionsof time and temperature at which both the crystallization and the dryingare carried out.

These orderly polymorphous forms will be, later on, conventionallyidentified as rifaximin δ (FIG. 1) and rifaximin ε (FIG. 2) on the basisof their respective specific diffractograms reported in the presentapplication.

The polymorphous forms of the rifaximin have been characterized throughthe technique of the powder X-ray diffraction.

The identification and characterization of these polymorphous forms and,contemporarily, the definition of the experimental conditions forobtaining them is very important for a compound endowed withpharmacological activity which, like the rifaximin, is marketed asmedicinal preparation, both for human and veterinary use. In fact it isknown that the polymorphism of a compound that can be used as activeprinciple contained in a medicinal preparation can influence thepharmaco-toxicologic properties of the drug. Different polymorphousforms of an active principle administered as drug under oral or topicalform can modify many properties thereof like bioavailability,solubility, stability, color, compressibility, flowability andworkability with consequent modification of the profiles oftoxicological safety, clinical effectiveness and productive efficiency.

What above mentioned is confirmed with authority by the fact that theauthorities that regulate the grant of the authorization for theadmission of the drugs on the market require that the manufacturingmethods of the active principles are standardized and controlled in sucha way that they give homogeneous and sound results in terms ofpolymorphism of the production batches (CPMP/QWP/96, 2003—Note forGuidance on Chemistry of new Active Substance; CPMP/ICH/367/96—Note forguidance specifications: test procedures and acceptance criteria for newdrug substances and new drug products: chemical substances; Date forcoming into operation: May 2000).

The need of the above-mentioned standardization has further beenstrengthened just in the field of the rifamycin antibiotics from HenwoodS. Q., de Villiers M. M., Liebenberg W. and Lotter A. P., DrugDevelopment and Industrial Pharmacy, 26 (4), 403-408, (2000), who haveascertained that different production batches of the rifampicin (INN)made from different manufacturers differ among them because they showdifferent polymorphous characteristics, and as a consequence they showdifferent profiles of dissolution together with consequent alteration ofthe respective pharmacological properties.

By applying the processes of crystallization and drying genericallydisclosed in the previous patents IT 1154655 and EP 0161534 it has beenfound that under some experimental conditions the poorly crystallineform of the rifaximin is obtained while under other experimentalconditions the other crystalline polymorphous forms of the rifaximin areobtained. Moreover it has been found that some parameters, absolutelynot disclosed in the above-mentioned patents, like for instance theconditions of preservation and the relative humidity of the ambient,have the surprising effect to determine the form of the polymorph.

The polymorphous forms of the rifaximin object of the present patentapplication were never seen or hypothesized, while thinking that a solehomogeneous product would always have been obtained whichever methodwould have been chosen within the range of the described conditions,irrespective of the conditions used for crystallizing, drying andpreserving.

It has now been found that the formation of the δ and ε forms depends onthe presence of water within the crystallization solvent, on thetemperature at which the product is crystallized and on the amount ofwater present into the product at the end of the drying phase.

The form δ and the form ε of the rifaximin have then been synthesizedand they are the object of the invention.

In particular the form δ is characterized by the residual content ofwater in the dried solid material in the range from 2.5% and 6% (w/w),more preferably from 3% and 4.5%, while the form ε is the result of apolymorphic transition under controlled temperature moving from the formδ.

These results have a remarkable importance as they determine theconditions of industrial manufacturing of some steps of working whichcould not be considered critical for the determination of thepolymorphism of a product, like for instance the maintaining to acrystallized product a quantity of water in a stringent range of values,or the process of drying the final product, in which a form, namely formδ, has to be obtained prior to continuing the drying to obtain the formδ, or the conditions of preservation of the end product, or thecharacteristics of the container in which the product is preserved.

Rifaximin exerts its broad antibacterial activity in thegastrointestinal tract against localized gastrointestinal bacteria thatcause infectious diarrhea including anaerobic strains. It has beenreported that rifaximin is characterized by a negligible systemicabsorption, due to its chemical and physical characteristics (DescombeJ. J. et al. Pharmacokinetic study of rifaximin after oraladministration in healthy volunteers. Int J Clin. Pharmacol. Res., 14(2), 51-56, (1994))

Now we have found that it is possible on the basis of the two identifiedpolymorphic forms of rifaximin to modulate its level of systemicadsorption, and this is part of the present invention, by administeringdistinct polymorphous forms of rifaximin, namely rifaximin δ andrifaximin ε. It is possible to have a difference in the adsorption ofalmost 100 folds in the range from 0.001 to 0.3 μg/ml in blood.

The evidenced difference in the bioavailability is important because itcan differentiate the pharmacological and toxicological behavior of thetwo polymorphous of rifaximins δ and ε.

As a matter of fact, rifaximin ε is negligibly absorbed through the oralroute while rifaximin δ shows a mild absorption.

Rifaximin ε is practically not absorbed, might act only through atopical action, including the case of the gastro-intestinal tract, withthe advantage of very low toxicity.

On the other way, rifaximin δ, which is mildly absorbed, can find anadvantageous use against systemic microorganisms, able to hidethemselves and to partially elude the action of the topic antibiotics.

In respect of possible adverse events coupled to the therapeutic use ofrifaximin of particular relevance is the induction of bacterialresistance to the antibiotics. Generally speaking, it is always possiblein the therapeutic practice with antibiotics to induce bacterialresistance to the same or to other antibiotic through selection ofresistant strains.

In case of rifaximin, this aspect is particularly relevant, sincerifaximin belongs to the rifamycin family, a member of which, therifampicin, is largely used in tuberculosis therapy. The current shortcourse treatment of tuberculosis is a combination therapy involving fouractive pharmaceutical ingredients: rifampicin, isoniazid, ethambutol andpyrazinamide and among them rifampicin plays a pivotal role. Therefore,any drug which jeopardized the efficacy of the therapy by selecting forresistance to rifampicin would be harmful. (Kremer L. et al.“Re-emergence of tuberculosis: strategies and treatment”, Expert Opin.Investig. Drugs, 11 (2), 153-157, (2002)).

In principle, looking at the structural similarity between rifaximin andrifampicin, it might be possible by using rifaximin to select resistantstrains of M. tuberculosis and to induce cross-resistance to rifampicin.In order to avoid this negative event it is crucial to have a control ofquantity of rifaximin systemically absorbed.

Under this point of view, the difference found in the systemicabsorption of the δ and ε forms of the rifaximin is significant, sincealso at sub-inhibitory concentration of rifaximin, such as in the rangeof from 0.1 to 1 μg/ml, selection of resistant mutants has beendemonstrated to be possible (Marchese A. et al. In vitro activity ofrifaximin, metronidazole and vancomycin against clostridium difficileand the rate of selection of spontaneously resistant mutants againstrepresentative anaerobic and aerobic bacteria, includingammonia-producing species. Chemotherapy, 46(4), 253-266, (2000)).

According to what above said, the importance of the present invention,which has led to the knowledge of the existence of the above mentionedrifaximin polymorphous forms and to various industrial routes formanufacturing pure single forms having different pharmacologicalproperties, is clearly strengthened.

The above-mentioned δ and ε forms can be advantageously used as pure andhomogeneous products in the manufacture of medicinal preparationscontaining rifaximin.

As already said, the process for manufacturing rifaximin from rifamycinO disclosed and claimed in EP 0161534 is deficient from the point ofview of the purification and identification of the product obtained; itshows some limits also from the synthetic point of view as regards, forinstance, the very long reaction times, from 16 to 72 hours, very littlesuitable for an industrial use and moreover because it does not providefor the in situ reduction of the rifaximin oxidized that may be formedwithin the reaction mixture.

Therefore, a further object of the present invention is an improvedprocess for the industrial manufacturing of the δ and ε forms of therifaximin, herein claimed as products and usable as defined andhomogeneous active principles in the manufacture of the medicinalpreparations containing such active principle.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a powder X-ray diffractogram of rifaximin δ.

FIG. 2 is a powder X-ray diffractogram of rifaximin ε.

DESCRIPTION OF THE INVENTION

As already said, the form δ and the form c of the antibiotic known asrifaximin (INN), processes for their production and the use thereof inthe manufacture of medicinal preparations for oral or topical route, areobject of the present invention.

A process object of the present invention comprises reacting one molarequivalent of rifamycin O with an excess of 2-amino-4-methylpyridine,preferably from 2.0 to 3.5 molar equivalents, in a solvent mixture madeof water and ethyl alcohol in volumetric ratios between 1:1 and 2:1, fora period of time between 2 and 8 hours at a temperature between 40° C.and 60° C.

At the end of the reaction the reaction mass is cooled to roomtemperature and is added with a solution of ascorbic acid in a mixtureof water, ethyl alcohol and aqueous concentrated hydrochloric acid,under strong stirring, in order to reduce the small amount of oxidizedrifaximin that forms during the reaction and finally the pH is broughtto about 2.0 by means of a further addition of concentrated aqueoussolution of hydrochloric acid, in order to better remove the excess of2-amino-4-methylpyridine used in the reaction. The suspension isfiltered and the obtained solid is washed with the same solvent mixturewater/ethyl alcohol used in the reaction. Such semi finished product iscalled “raw rifaximin”.

The raw rifaximin can be directly submitted to the subsequent step ofpurification. Alternately, in case long times of preservation of thesemi finished product are expected, the raw rifaximin can be dried undervacuum at a temperature lower than 65° C. for a period of time between 6and 24 hours, such semi finished product is called “dried rawrifaximin”.

The so obtained raw rifaximin and/or dried raw rifaximin are purified bydissolving them in ethyl alcohol at a temperature between 45° C. and 65°C. and by crystallizing them by addition of water, preferably in weightamounts between 15% and 70% in respect of the amount by weight of theethyl alcohol used for the dissolution, and by keeping the obtainedsuspension at a temperature between 50° C. and 0° C. under stirringduring a period of time between 4 and 36 hours.

The suspension is filtered and the obtained solid is washed with waterand dried under vacuum or under normal pressure, with or without adrying agent, at a temperature between the room temperature and 105° C.for a period of time between 2 and 72 hours.

The achievement of the δ and ε forms depends on the conditions chosenfor the crystallization. In particular, the composition of the solventmixture from which the crystallization is carried out, the temperatureat which the reaction mixture is kept after the crystallization and theperiod of time at which that temperature is kept, have proven to becritical.

More precisely, the δ and ε rifaximins are obtained when the temperatureis first brought to a value between 28° C. and 32° C. in order to causethe beginning of the crystallization, then the suspension is brought toa temperature between 40° C. and 50° C. and kept at this value for aperiod of time between 6 and 24 hours, then the suspension is quicklycooled to 0° C., in a period of time between 15 minutes and one hour, isfiltered, the solid is washed with water and then is dried.

The step of drying has an important part in obtaining the δ and εpolymorphous forms of the rifaximin and has to be checked by means of asuitable method fit for the water dosage, like for instance the KarlFisher method, in order to check the amount of remaining water presentin the product under drying.

The obtaining of the rifaximin δ during the drying in fact depends onthe end remaining amount of water which should be comprised from 2.5%(w/w) and 6% (w/w), more preferably between—3% and 4.5%, and not fromthe experimental conditions of pressure and temperature at which thiscritical limit of water percent is achieved.

In order to obtain the poorly adsorbed ε form it has to start from the δform and it has to be continued the drying under vacuum or atatmospheric pressure, at room temperature or at high temperatures, inthe presence or in the absence of drying agents, provided that thedrying is prolonged for the time necessary so that the conversion inform E is achieved.

Both the forms δ and ε of the rifaximin are hygroscopic, they absorbwater in a reversible way during the time in the presence of suitableconditions of pressure and humidity in the ambient and are susceptibleof transformation to other forms.

The transitions from one form to another result to be very important inthe ambit of the invention, because they can be an alternativemanufacturing method for obtaining the form desired for the productionof the medicinal preparations. Therefore, the process that allows toturn the rifaximin δ into rifaximin ε in a valid industrial manner isimportant part of the invention.

The process concerning the transformation of the rifaximin δ intorifaximin E comprises drying the rifaximin δ under vacuum or atatmospheric pressure, at room temperature or at high temperatures, inthe presence or in the absence of drying agents, and keeping it for aperiod of time until the conversion is obtained, usually between 6 and36 hours.

From what above said, it results that during the phase of preservationof the product a particular care has to be taken so that the ambientconditions do not change the water content of the product, by preservingthe product in ambient having controlled humidity or in closedcontainers that do not allow in a significant way the exchange of waterwith the exterior ambient.

The polymorph called rifaximin δ is characterized from a content ofwater in the range between 2.5% and 6%, preferably between 3.0% and 4.5%and from a powder X-ray diffractogram (reported in FIG. 1) which showspeaks at the values of the diffraction angles 2θ of 5.70°±0.2, 6.7°±0.2,7.1°±0.2, 8.0°±0.2, 8.7°±0.2, 10.4°±0.2, 10.8°±0.2, 11.3°±0.2,12.1°±0.2, 17.0°±0.2, 17.3°±0.2, 17.5°±0.2, 18.5°±0.2, 18.8°±0.2,19.1°±0.2, 21.0°±0.2, 21.5°±0.2. The polymorph called rifaximin E ischaracterized from a powder X-ray diffractogram (reported in FIG. 2)which shows peaks at the values of the diffraction angles 2θ of7.0°±0.2, 7.3°±0.2, 8.2°±0.2, 8.7°±0.2, 10.3°±0.2, 11.1°±0.2, 11.7°±0.2,12.4°±0.2, 14.5°±0.2, 16.3°±0.2, 17.2°±0.2, 18.0°±0.2, 19.4°±0.2.

The diffractograms have been carried out by means of the Philips X'Pertinstrument endowed with Bragg-Brentano geometry and under the followingworking conditions:

X-ray tube: Copper

Radiation used: K (α1), K (α2)

Tension and current of the generator: KV 40, mA 40

Monochromator: Graphite

Step size: 0.02

Time per step: 1.25 seconds

Starting and final angular 2θ value: 3.0°/30.0°

The evaluation of the content of water present in the analysed sampleshas always been carried out by means of the Karl Fisher method.

Rifaximin δ and rifaximin ε differ each from other also because theyshow significant differences as regards bioavailability.

A bioavailability study of the two polymorphs has been carried out on

Beagle female dogs, treated them by oral route with a dose of 100 mg/kgin capsule of one of the polymorphs, collecting blood samples from thejugular vein of each animal before each dosing and 1, 2, 4, 6, 8 and 24hours after each dosing, transferring the samples into tubes containingheparin and separating the plasma by centrifugation.

The plasma has been assayed for rifaximin on the validated LC-MS/MSmethod and the maximum observed plasma concentration (Cmax), the time toreach the Cmax (Tmax), and the area under the concentration-time curve(AUC) have been calculated.

The experimental data reported in the following table 1 clearly showthat rifaximin E is negligibly absorbed, while rifaximin δ is absorbedat a value (Cmax=0.308 μg/ml) comprised in the range of from 0.1 to 1.0μg/ml.

TABLE 1 Pharmacokinetic parameters for rifaximin polymorphs followingsingle oral administration of 100 mg/kg by capsules to female dogs CmaxAUC 0-24 ng · ng/ml Tmax h h/ml Mean Mean Mean Polymorph δ 308.31 2 801Polymorph ε 6.86 4 42

The above experimental results further point out the differencesexisting among the two rifaximin polymorphs.

The forms δ and ε can be advantageously used in the production ofmedicinal preparations having antibiotic activity, containing rifaximin,for both oral and topical use. The medicinal preparations for oral usecontain the rifaximin δ and a together with the usual excipients asdiluting agents like mannitol, lactose and sorbitol; binding agents likestarches, gelatins, sugars, cellulose derivatives, natural gums andpolyvinylpyrrolidone; lubricating agents like talc, stearates,hydrogenated vegetable oils, polyethylenglycol and colloidal silicondioxide: disintegrating agents like starches, celluloses, alginates,gums and reticulated polymers; coloring, flavoring and sweeteningagents.

All the solid preparations administrable by oral route can be used inthe ambit of the present invention, for instance coated and uncoatedtablets, capsules made of soft and hard gelatin, sugar-coated pills,lozenges, wafer sheets, pellets and powders in sealed packets.

The medicinal preparations for topical use contain the rifaximin δ and εtogether with the usual excipients like white petrolatum, white wax,lanoline and derivatives thereof, stearylic alcohol, propylenglycol,sodium lauryl sulfate, ethers of the fatty polyoxyethylene alcohols,esters of the fatty polyoxyethylene acids, sorbitan monostearate,glyceryl monostearate, propylene glycol monostearate, polyethyleneglycols, methylcellulose, hydroxymethylpropylcellulose, sodiumcarboxymethylcellulose, colloidal aluminum and magnesium silicate,sodium alginate.

All the topical preparations can be used in the ambit of the presentinvention, for instance the ointments, the pomades, the creams, the gelsand the lotions.

The invention is herein below illustrated from some examples that do nothave to be taken as a limitation of the invention: from what describedresults in fact evident that the forms δ and ε can be obtained bysuitably combining between them the above mentioned conditions ofcrystallization and drying.

Example 1

Preparation of Raw Rifaximin and of Dried Raw Rifaximin

In a three-necked flask equipped with mechanic stirrer, thermometer andreflux condenser, 120 ml of demineralized water, 96 ml of ethyl alcohol,63.5 g of rifamycin O and 27.2 g of 2-amino-4-methylpyridine are loadedin succession at room temperature. After the loading, the mass is heatedat 47±3° C., is kept under stirring at this temperature for 5 hours,then is cooled to 2°±3° C. and, during 30 minutes, is added with amixture, prepared separately, made of 9 ml of demineralized water, 12.6ml of ethyl alcohol, 1.68 g of ascorbic acid and 9.28 g of aqueousconcentrated hydrochloric acid. At the end of the addition, the mass iskept under stirring for 30 minutes at an interior temperature of 2°±−3°C. and then, at the same temperature, 7.72 g of concentratedhydrochloric acid are dripped until a pH equal to 2.0.

At the end of the addition, the mass is kept under stirring, always atan interior temperature equal to 20° C., for 30 minutes, then theprecipitate is filtered and washed by means of a mixture made of 32 mlof demineralized water and of 25 ml of ethyl alcohol. The so obtained“raw rifaximin” (89.2 g) is dried under vacuum at room temperature for12 hours obtaining 64.4 g of “dried raw rifaximin” which shows a watercontent equal to 5.6%. The product by further drying under vacuum untilthe weight of 62.2 g of dried raw rifaximin having a water content equalto 3.3%, whose diffractogram corresponds to the polymorphous form δcharacterized from a powder X-ray diffractogram showing peaks at valuesof angles 2θ of 5.7°±0.2, 6.7°±0.2, 7.1°±0.2, 8.0°:0.2, 8.7°±0.2,10.4°±0.2, 10.8°±0.2, 11.3°±0.2, 12.1°±0.2, 17.0°±0.2, 17.3°±0.2,17.5°±0.2, 18.5°±0.2, 18.8°±0.2, 19.1°±0.2, 21.0°±0.2, 21.5°±0.2. Theproduct is hygroscopic.

Example 2

Preparation of Rifaximin ε

Example 1 is repeated and after having obtained the 6 form, the solidpowder is further dried under vacuum for 24 hours at the temperature of65° C. The product obtained is rifaximin ε characterized from a powderX-ray diffractogram showing peaks at values of angles 2θ of 7.0°±0.2,7.3°±0.2, 8.2°±0.2, 8.7010.2, 10.3°±0.2, 11.1°±0.2, 11.7°±0.2,12.4°±0.2, 14.5°±0.2, 16.3°±0.2, 17.2°±0.2, 18.0°±0.2, 19.4°±0.2.

Example 3

Bioavailability in Dogs By Oral Route

Eight pure-bred Beagle females dogs having 20 weeks of age and weighingbetween 5.0 and 7.5 kg have been divided into two groups of four.

The first of these group has been treated with rifaximin δ, the secondwith rifaximin ε according to the following procedure.

To each dog have been administered by the oral route 100 mg/kg of one ofthe rifaximin polymorphs into gelatin capsules and blood samples of 2 mleach have been collected from the jugular vein of each animal beforeeach dispensing and 1, 2, 4, 6, 8 and 24 hours after the administration.

Each sample has been transferred into a tube containing heparin asanticoagulant and has been centrifuged; the plasma has been divided intotwo aliquots, each of 500 μl, and has been frozen at −20° C.

The rifaximin contained in the plasma has been assayed by means of thevalidated LC-MS/MS method and the following parameters have beencalculated according to standard non-compartmental analysis:

Cmax=maximum observed plasma concentration of rifaximin in the plasma;

Tmax=time at which the Cmax is reached;

AUC=area under the concentration-time curve calculated through thelinear trapezoidal rule.

The results reported in the table 1 clearly show how the rifaximin δ ismuch more absorbed, more than 40 times, in respect of rifaximin ε, whichis practically not absorbed.

What is claimed is:
 1. Rifaximin in polymorphic form δ, wherein therifaximin polymorphic form δ has x-ray powder diffraction pattern peaksat about 5.7°±0.2, 12.1°±0.2, and 17.0°±0.2 2-θ.
 2. The rifaximin inpolymorphic form δ of claim 1, wherein the x-ray powder diffractionpattern further comprises a peak at about 11.3°±0.2 2-θ.
 3. Therifaximin in polymorphic form δ of claim 1, wherein the x-ray powderdiffraction pattern further comprises peaks at about 7.1°±0.2 and21.5°±0.2 2-θ.
 4. The rifaximin in polymorphic form δ of claim 1,wherein the x-ray powder diffraction pattern further comprises peaks atabout 6.7°±0.2 and 8.7°±0.2 2-θ.
 5. The rifaximin in polymorphic form δof claim 1, wherein the polymorph has x-ray powder diffraction patternpeaks at about 5.7°±0.2, 6.7°±0.2, 7.1°±0.2, 8.0°±0.2, 8.7°±0.2,10.4°±0.2, 11.3°±0.2, 12.1°±0.2, 17.0°±0.2, 17.3±0.2, 17.5°±0.2,18.5°±0.2, 18.8°±0.2, 19.1°±0.2, 21.0°±0.2 and 21.5°±0.2 2-θ.
 6. Therifaximin in polymorphic form δ of claim 1, wherein the polymorph 5 hasa water content of between 3% and 4.5%.
 7. The rifaximin in polymorphicform δ of claim 1, wherein the polymorph 5 has a water content ofbetween 2.5% and 6%.
 8. Rifaximin in polymorphic form ε, wherein therifaximin polymorphic form c has x-ray powder diffraction pattern peaksat about 8.2°±0.2, 12.4°±0.2, and 16.3°±0.2 2-θ.
 9. A method of treatingbacterial activity in the gastrointestinal tract of a subject,comprising administering to the subject a pharmaceutical compositioncomprising a therapeutically effective amount of rifaximin δ, therebyreducing the bacterial activity in the gastrointestinal tract, whereinthe rifaximin polymorphic form δ has x-ray powder diffraction patternpeaks at about 5.7°±0.2, 12.1°±0.2, and 17.0°±0.2 2-θ.
 10. The method ofclaim 9, wherein the bacterial activity causes infectious diarrhea. 11.The method of claim 9, wherein the bacteria are anaerobic bacteria. 12.The method of claim 9, wherein the pharmaceutical composition isadministered orally.
 13. The method of claim 9, wherein the bacteria aregastrointestinal bacteria.
 14. A method of treating bacterial activityin the gastrointestinal tract of a subject, comprising administering tothe subject a pharmaceutical composition comprising a therapeuticallyeffective amount of rifaximin ε, thereby reducing the bacterial activityin the gastrointestinal tract, wherein the rifaximin polymorphic form εhas x-ray powder diffraction pattern peaks at about 8.2°±0.2, 12.4°±0.2,and 16.3°±0.2 2-θ.
 15. The method of claim 14, wherein the bacterialactivity causes infectious diarrhea.
 16. The method of claim 14, whereinthe bacteria are anaerobic bacteria.
 17. The method of claim 14, whereinthe pharmaceutical composition is administered orally.
 18. The method ofclaim 14, wherein the bacteria are gastrointestinal bacteria.